| NPI | 1548692726 |
|---|---|
| Former Name | LISA EILEEN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 23250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015818) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2025-12-22 |